Orthopaedic Manual Physical Therapy: A Modern Definition and Description

Author:

Silvernail Jason L1ORCID,Deyle Gail D1,Jensen Gail M2,Chaconas Eric3,Cleland Josh4,Cook Chad5,Courtney Carol A6,Fritz Julie7,Mintken Paul8,Lonnemann Elaine9

Affiliation:

1. Graduate School, Baylor University , San Antonio, Texas , USA

2. Graduate School and College of Professional Studies, Creighton University , Omaha, Nebraska , USA

3. Doctor of Science in Physical Therapy Program, Bellin College , Green Bay, Wisconsin , USA

4. Department of Rehabilitation Science, Tufts University School of Medicine , Boston, Massachusetts , USA

5. Division of Physical Therapy, Department of Orthopaedics, Department of Population Health Sciences, Duke Clinical Research Institute, Duke University , Durham, North Carolina , USA

6. Department of Physical Therapy and Human Movement Sciences, Northwestern University , Chicago, Illinois , USA

7. Orthopaedic Surgery, Orthopaedic Surgery Operations, Physical Therapy & Athletic Training, University of Utah , Salt Lake City, Utah , USA

8. Department of Physical Therapy, Hawai’i Pacific University , Honolulu, Hawaii , USA

9. Physical Therapy, University of St. Augustine for Health Sciences , St. Augustine, Florida , USA

Abstract

Abstract Currently, orthopaedic manual physical therapy (OMPT) lacks a description of practice that reflects contemporary thinking and embraces advances across the scientific, clinical, and educational arms of the profession. The absence of a clear definition of OMPT reduces understanding of the approach across health care professions and potentially limits OMPT from inclusion in scientific reviews and clinical practice guidelines. For example, it is often incorrectly classified as passive care or incorrectly contrasted with exercise-therapy approaches. This perspective aims to provide clinicians, researchers, and stakeholders a modern definition of OMPT that improves the understanding of this approach both inside and outside the physical therapist profession. The authors also aim to outline the unique and essential aspects of advanced OMPT training with the corresponding examination and treatment competencies. This definition of practice and illustration of its defining characteristics is necessary to improve the understanding of this approach and to help classify it correctly for study in the scientific literature. This perspective provides a current definition and conceptual model of OMPT, defining the distinguishing characteristics and key elements of this systematic and active patient-centered approach to improve understanding and help classify it correctly for study in the scientific literature.

Publisher

Oxford University Press (OUP)

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